Prof. Wolfgang Bauermeister specialises in pain therapy and is the founder of the Pain Institute, Munich and, as Honorary Professor of the Kharkiv National Medical University (Ukraine), is active in teaching. After his studies in human medicine in Germany, he worked in the USA for several years, where he completed his training as a specialist in physical and rehabilitative medicine. Prof. Bauermeister mainly focuses on pain medicine, sports medicine and acupuncture.
Thanks to his practical experience in the field of pain therapy, Prof. Bauermeister recognises the requirements and the pain pattern of his patients very accurately. For that reason, he has developed his own pioneering techniques in trigger osteopractic and trigger shockwave therapy in order to understand and treat chronic pain. Here, familiarity with various Valleix’s points (nerve pressure points) and smaller, tensed muscle groups, the so-called trigger points, is key.
These difficult to locate points frequently cause pain in the musculoskeletal system. In order to identify the trigger points responsible for the pain, Prof. Bauermeister utilises an innovative diagnostic method, ultrasound elastography. This enables the trigger points to be visually represented. At the same time, correcting the tension also results in the resolution of the chronic pain. For this, the Munich pain therapist, Prof. Bauermeister, has specially developed so-called trigger-shockwave therapy (TST).
Patients with chronic pain can themselves engage with the subject of trigger points: Prof. Bauermeister has written several books clearly outlining the medical background which enable the reader, up to a certain point, to perform self-treatment. Prof. Bauermeister’s contributions dealing with pain appear in ORTHOpress, the highest-circulation waiting-room journal in Germany.
Since 1988, the pain specialist from Munich has also led advanced training seminars for medical practitioners and therapists, who, at the same time, learn his established treatment methods and later go on to apply these themselves. Prof. Bauermeister also lectures at the Kharkiv National Medical University in the Ukraine, where he passes his successful treatment approaches on to students, therapists and medical practitioners. In the course of his work, he is also in charge of innovative student research projects at his Pain Institute in Munich.
3-D Trigger point ultrasound elastography Since only the superficial trigger point can be felt using the fingers, an imaging technique is required in order also to be able to identify deep trigger points. These are not visible using conventional X-ray, magnetic resonance or ultrasound techniques. For this reason, Prof. Bauermeister has been examining trigger points since 2000 using ultrasound systems used in urology for tumour diagnostics. He has found that, just as for tumours, trigger points are also visible using this technique. It took a further 10 years, however, to bring the technique out of the laboratory and into daily practice. Since then, however, studies in the United States have also shown that trigger points can be visually represented by means of ultrasound elastography as the sole practical technique. This represents a milestone in pain diagnostics since, as a result, treatment strategies can be objectively analysed in terms of their effectiveness. This is also ray of hope for patients since at last the otherwise invisible pain can be visually displayed.
3-D whole-body orthostatic measurement: A successful pain treatment must also address the causes, often from some time ago, which have led to the development of the trigger points triggering the pain. For this reason, an analysis of the posture is required in order to identify the stress to which the muscles, tendons and joints are subject due to an abnormal posture. A sprained foot or a knee injury may result in shifting weight onto the other side of the body in order to protect the injured area. Shifting body weight in such a way can only be sustained by ongoing muscular activity. The muscles become chronically overloaded, trigger points form in the muscles and the muscles become permanently shortened. If the injury heals completely, the weight transfer generally remains in place and, over months, years or even decades, active pain triggering trigger points can develop, resulting in the development of treatment-resistant pain, while the patient is unaware of a cause.
Trigger Point Shockwave Therapy: By means of shockwave stimulation, the active trigger points lose their pain-triggering effect. This mechanism can be explained by a normalisation of the oxygen content of the muscular tissue thanks to an improved blood flow. As a result, the inflammation prevalent in the trigger point is gradually reduced. At the start, this effect is temporary because trigger points in different regions are involved in triggering the pain. In persistent cases, the trigger points in different areas must also be treated repeatedly.
Regeneration therapy: Fascia and muscle regeneration treatment by means of alkalisation combined with frequency-specific micro-currents has proven very successful in the sports area and has already been introduced to members of the national handball, rowing and football teams by Prof. Bauermeister. The positive affect of the alkalisation can be recognised externally by a change in the complexion. The deep effect on the fascia and the muscles, which can be achieved in combination with the application of micro-currents of certain frequencies, however, is crucial.
Craniosacral, craniomandibular and visceral osteopathy: Osteopathy treatmentmay also make sense for some pain problems. This can be performed as an alternative to or in addition to trigger point shockwave therapy.
Correction of orthostatic problems: 3-D orthostatic analysis frequently reveals posture problems which may have been in existence for some time and which may be a decisive factor in the development of pain and the continuation of the condition. Orthostatic problems develop due to trigger points in the muscles and fascia and must be treated in the same way as the trigger points which trigger pain directly. If a posture problem is ignored then the pain will return at some stage. For this reason, it is also important to find and treat the orthostatic trigger points.
of selected experts in the specialist field Pain Medicine